Pub Date : 2019-03-01DOI: 10.21608/EJGG.2019.30885
Reham Radwan, E. Helal, G. Amin, S. Said
AbstractBackground: adherence represents significant challenges to healthcare professionals especially among elderly.Aim: The study aimed to compare compliance among elderly in nursing homes and community dwelling..Methods: This cross-sectional study was conducted on the elderly of community dwelling (n = 200) and nursing homes (n = 200) in Cairo, Egypt. The study data were collected between February 2017 to February 2018. For data collection, Medication Assessment Questionnaire (MAQ) was used. The data were evaluated with SPSS for 22.0 Windows statistical package program. Data descriptive statistics were evaluated with independent t test and the chi-square test.Results: The majority of participants of the 2 groups are at age 60-70 years. According to the study results, most of the participants in the 2 groups are medium adherent.Conclusions: there is no difference in adherence between community dwelling and nursing homes elderly.
{"title":"Compliance among a group of Egyptian elderly in Cairo","authors":"Reham Radwan, E. Helal, G. Amin, S. Said","doi":"10.21608/EJGG.2019.30885","DOIUrl":"https://doi.org/10.21608/EJGG.2019.30885","url":null,"abstract":"AbstractBackground: adherence represents significant challenges to healthcare professionals especially among elderly.Aim: The study aimed to compare compliance among elderly in nursing homes and community dwelling..Methods: This cross-sectional study was conducted on the elderly of community dwelling (n = 200) and nursing homes (n = 200) in Cairo, Egypt. The study data were collected between February 2017 to February 2018. For data collection, Medication Assessment Questionnaire (MAQ) was used. The data were evaluated with SPSS for 22.0 Windows statistical package program. Data descriptive statistics were evaluated with independent t test and the chi-square test.Results: The majority of participants of the 2 groups are at age 60-70 years. According to the study results, most of the participants in the 2 groups are medium adherent.Conclusions: there is no difference in adherence between community dwelling and nursing homes elderly.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123514272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/ejgg.2018.30904
S. Hamza, S. Abdul-Rahman, Asmaa M. Nabiel, A. Sedky
Background World’s elderly population is rapidly growing with estimates that the proportion of elderly population over 60 years will double from 11% to 22% in the first five decades of 21 st century. The absolute number of elderly is expected to triple from 605 million to 2 billion over this period 1 . Longevity is desirable, but what matters is living with satisfactory Quality of Life (QoL) 2 . QoL is a broad multidimensional concept based on subjective measures of life, while HRQoL is a more specific aspect of QoL that is related to health 3 . Elderly are at greater risk for developing illnesses, that impair HRQoL 4 . One of possible potentially modifiable determinants of HRQoL is nutrition, because adequate nutrition can delay the age-related frailty and functional dependency by preserving muscle mass and immunity in elderly 5 . Malnutrition is defined as state of deficiency, excess or imbalance of a wide range of nutrients, resulting in significant adverse effects on body structure, function and clinical outcome 6 . The reported prevalence of malnutrition in elderly ranged from 23-60% and 5-30% in acute care 7 and community settings 8
{"title":"Nutritional Status and Health-Related Quality of Life Among Elderly in Rural Area in Egypt.","authors":"S. Hamza, S. Abdul-Rahman, Asmaa M. Nabiel, A. Sedky","doi":"10.21608/ejgg.2018.30904","DOIUrl":"https://doi.org/10.21608/ejgg.2018.30904","url":null,"abstract":"Background World’s elderly population is rapidly growing with estimates that the proportion of elderly population over 60 years will double from 11% to 22% in the first five decades of 21 st century. The absolute number of elderly is expected to triple from 605 million to 2 billion over this period 1 . Longevity is desirable, but what matters is living with satisfactory Quality of Life (QoL) 2 . QoL is a broad multidimensional concept based on subjective measures of life, while HRQoL is a more specific aspect of QoL that is related to health 3 . Elderly are at greater risk for developing illnesses, that impair HRQoL 4 . One of possible potentially modifiable determinants of HRQoL is nutrition, because adequate nutrition can delay the age-related frailty and functional dependency by preserving muscle mass and immunity in elderly 5 . Malnutrition is defined as state of deficiency, excess or imbalance of a wide range of nutrients, resulting in significant adverse effects on body structure, function and clinical outcome 6 . The reported prevalence of malnutrition in elderly ranged from 23-60% and 5-30% in acute care 7 and community settings 8","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127858647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/EJGG.2018.30902
G. Ismail, H. Fahim, I. Bakr, G. Wassif, S. Hamza
AbstractBackground: Geriatric Falls are considered as one of the serious public health problems, as they are common causes of morbidity mortality and poor quality of life. Health education intervention programs for fall prevention improves knowledge and number of falls among elderly.Aim: To assess risk of falling and home safety against falls among a group of elderly residents in Geriatric homes in Cairo, Egypt. Also, to explore the extent of falls` knowledge and evaluate the effectiveness of an intervention education program delivered to the elderly participants.Methods: A quasi-experimental interventional study was conducted upon 120 elderly participants in 7 geriatric homes in different districts in Cairo. The interview questionnaire included sociodemographic, general geriatric health, falls` risk assessment, geriatric home safety, falls` knowledge and falls` history sections. Educational Intervention was provided as a series of lectures to the elderly in the selected geriatric homes about falls related topics. Participants were interviewed for 3 times, before the intervention (pretest), after the intervention (posttest), and 6 months later (follow up posttest)Results: There was statistical significant improvement in the knowledge scores of geriatric participants regards different falls` topics in the posttest and follow up (6 months posttest) after implementation of the education intervention in comparison with the pretest scores (P=0.00). Elderly participants who experienced falling decreased from (35.8%) in the pre-test to (27.4 %) in the 6 months post-test after the education intervention.Conclusions: The health education intervention proved to be effective in increasing knowledge and reducing number of falls among geriatric participants.
{"title":"Risk of falls and Effect of a Health Education Program in Prevention of Falls among Elderly in Geriatric Homes in Cairo, Egypt","authors":"G. Ismail, H. Fahim, I. Bakr, G. Wassif, S. Hamza","doi":"10.21608/EJGG.2018.30902","DOIUrl":"https://doi.org/10.21608/EJGG.2018.30902","url":null,"abstract":"AbstractBackground: Geriatric Falls are considered as one of the serious public health problems, as they are common causes of morbidity mortality and poor quality of life. Health education intervention programs for fall prevention improves knowledge and number of falls among elderly.Aim: To assess risk of falling and home safety against falls among a group of elderly residents in Geriatric homes in Cairo, Egypt. Also, to explore the extent of falls` knowledge and evaluate the effectiveness of an intervention education program delivered to the elderly participants.Methods: A quasi-experimental interventional study was conducted upon 120 elderly participants in 7 geriatric homes in different districts in Cairo. The interview questionnaire included sociodemographic, general geriatric health, falls` risk assessment, geriatric home safety, falls` knowledge and falls` history sections. Educational Intervention was provided as a series of lectures to the elderly in the selected geriatric homes about falls related topics. Participants were interviewed for 3 times, before the intervention (pretest), after the intervention (posttest), and 6 months later (follow up posttest)Results: There was statistical significant improvement in the knowledge scores of geriatric participants regards different falls` topics in the posttest and follow up (6 months posttest) after implementation of the education intervention in comparison with the pretest scores (P=0.00). Elderly participants who experienced falling decreased from (35.8%) in the pre-test to (27.4 %) in the 6 months post-test after the education intervention.Conclusions: The health education intervention proved to be effective in increasing knowledge and reducing number of falls among geriatric participants.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124333708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/ejgg.2018.30906
Shawkat G
Lateral medullary infarction (Wallenberg syndrome) is a relatively common vertebrobasilar vascular syndrome. However, ipsilateral hemiparesis as part of lateral medullary infarction is rare, and is known as Opalski’s syndrome. Some pathologic and neuroradiologic reports have shown that the lesion is located lower than in Wallenberg syndrome, and the ipsilateral hemiparesis seen in this syndrome is attributed to the involvement of corticospinal fibers caudal to the pyramidal decussation. 1 However, Opalski’s syndrome with cerebellar lesion is rare. .
{"title":"Opalski Syndrome","authors":"Shawkat G","doi":"10.21608/ejgg.2018.30906","DOIUrl":"https://doi.org/10.21608/ejgg.2018.30906","url":null,"abstract":"Lateral medullary infarction (Wallenberg syndrome) is a relatively common vertebrobasilar vascular syndrome. However, ipsilateral hemiparesis as part of lateral medullary infarction is rare, and is known as Opalski’s syndrome. Some pathologic and neuroradiologic reports have shown that the lesion is located lower than in Wallenberg syndrome, and the ipsilateral hemiparesis seen in this syndrome is attributed to the involvement of corticospinal fibers caudal to the pyramidal decussation. 1 However, Opalski’s syndrome with cerebellar lesion is rare. .","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127329327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/EJGG.2018.30907
Essam Mohammed Bayomi, Samia Abdul Rahamn, G. Amin, Manar Abd Elmaksoud
Background Osteoporosis is a common condition in the older female population, with an incidence of 15% in women over 50 years of age. Prevalence in the 80to 89 -year-old age group is approximately 48% in the United States 1 . In Egypt, calculation shows that 53.9% of postmenopausal women have osteopenia and 28.4% have osteoporosis. As 26% of men have osteopenia and 21.9% have osteoporosis 2 , osteoporosis is projected to impact approximately 14 million adults over the age of 50 by the year 2020. Osteoporotic fractures are associated with increased mortality and major morbidity, including loss of independence, reduced function and mortality, pain, kyphosis and respiratory compromise 3 . Although the mortality rate associated with hip fractures is higher, vertebral fracture is associated with substantial morbidity, including chronic back pain, reduced truncal postural flexion, restricted movement and increased risk of falls 4 . The gold standard for the diagnosis of osteoporosis is dual-energy absorptiometry (DXA) 5 . Abstract
{"title":"Association Between Costo-iliac Distance /Arm Span Ratio and Lumber Height and its Relation with Osteoporosis in a Group of Egyption Post-menopausal Women","authors":"Essam Mohammed Bayomi, Samia Abdul Rahamn, G. Amin, Manar Abd Elmaksoud","doi":"10.21608/EJGG.2018.30907","DOIUrl":"https://doi.org/10.21608/EJGG.2018.30907","url":null,"abstract":"Background Osteoporosis is a common condition in the older female population, with an incidence of 15% in women over 50 years of age. Prevalence in the 80to 89 -year-old age group is approximately 48% in the United States 1 . In Egypt, calculation shows that 53.9% of postmenopausal women have osteopenia and 28.4% have osteoporosis. As 26% of men have osteopenia and 21.9% have osteoporosis 2 , osteoporosis is projected to impact approximately 14 million adults over the age of 50 by the year 2020. Osteoporotic fractures are associated with increased mortality and major morbidity, including loss of independence, reduced function and mortality, pain, kyphosis and respiratory compromise 3 . Although the mortality rate associated with hip fractures is higher, vertebral fracture is associated with substantial morbidity, including chronic back pain, reduced truncal postural flexion, restricted movement and increased risk of falls 4 . The gold standard for the diagnosis of osteoporosis is dual-energy absorptiometry (DXA) 5 . Abstract","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115995632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/EJGG.2018.30912
Tomader Taha Abdel Rahman, M. Khater, M. Allam
AbstractBackground: Sarcopenia (the loss of muscle mass and strength) has estimated prevalence rates of 5-13% and 11-50% in the young-old and old-old, respectively. Recent studies have shown that vitamin D plays important roles in various systems, including the musculoskeletal system. Objective:The aim of this meta-analysis was to determine the effects of vitamin D supplementation on muscle function in community‐dwelling elderly individuals.Methods: We conducted systematic searches of PubMed, Medline, Egyptian Knowledge Bank, and the reference sections of previous reviews, and we discussed the topic with several experts in the field. Only randomized controlled trials that evaluated the effect of vitamin D supplementation on muscle function [muscle strength was evaluated by the hand grip strength (HGS) test, and physical performance was evaluated by the timed up-and-go (TUG) test] were included. Only studies published in English between January 2000 and June 2018 were considered.Results: In total, 14 randomized controlled clinical trials (RCTs) met our inclusion criteria. The participants in these studies were all community-dwelling elderly individuals, who were generally in good health for their age. The pooled mean difference in HGS was higher in the vitamin D supplementation group than in the control group. The pooled mean difference in the TUG test was slightly lower in the vitamin D supplementation group than in the control group.Conclusions: Our meta-analysis shows that vitamin D supplementation could improve muscle function in elderly individuals. Future studies should use standardized durations and doses of vitamin D supplementation.
{"title":"EFFECT OF VITAMIN D SUPPLEMENTATION ON MUSCLE FUNCTION IN ELDERLY INDIVIDUALS: A META-ANALYSIS","authors":"Tomader Taha Abdel Rahman, M. Khater, M. Allam","doi":"10.21608/EJGG.2018.30912","DOIUrl":"https://doi.org/10.21608/EJGG.2018.30912","url":null,"abstract":"AbstractBackground: Sarcopenia (the loss of muscle mass and strength) has estimated prevalence rates of 5-13% and 11-50% in the young-old and old-old, respectively. Recent studies have shown that vitamin D plays important roles in various systems, including the musculoskeletal system. Objective:The aim of this meta-analysis was to determine the effects of vitamin D supplementation on muscle function in community‐dwelling elderly individuals.Methods: We conducted systematic searches of PubMed, Medline, Egyptian Knowledge Bank, and the reference sections of previous reviews, and we discussed the topic with several experts in the field. Only randomized controlled trials that evaluated the effect of vitamin D supplementation on muscle function [muscle strength was evaluated by the hand grip strength (HGS) test, and physical performance was evaluated by the timed up-and-go (TUG) test] were included. Only studies published in English between January 2000 and June 2018 were considered.Results: In total, 14 randomized controlled clinical trials (RCTs) met our inclusion criteria. The participants in these studies were all community-dwelling elderly individuals, who were generally in good health for their age. The pooled mean difference in HGS was higher in the vitamin D supplementation group than in the control group. The pooled mean difference in the TUG test was slightly lower in the vitamin D supplementation group than in the control group.Conclusions: Our meta-analysis shows that vitamin D supplementation could improve muscle function in elderly individuals. Future studies should use standardized durations and doses of vitamin D supplementation.","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121711194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/EJGG.2018.30909
S. Sabbour, Samia Ahmed Abdul Rahamn, G. Amin, B. Mohamed
AbstractBackground: frailty and malnutrition are common problems among elders. Studying these two concepts is very important as both of them are amenable for preventive interventions and are reversible.Aim: To measure the prevalence of frailty and malnutrition among two groups of Egyptian elderly; nursing homes and community dwellers and to identify risk factors of these two problems.Methods: the study included 350 elderly males and females aged 60 and over, 175 participants from nursing homes and 175 community dwellers. An interview questionnaire collected data about: sociodemographic data, health status, functionality of family (family APGAR score), screening for depression (5 item Geriatric Depression Scale) and cognitive status (Mini-Mental state). Frailty was measured using SHARE frailty index whereas nutritional status was measured using the Mini Nutritional Assessment questionnaire (MNA).Results: Prevalence of frailty was 77.1% among elderly in nursing homes compared to 66.3% among community dwellers with no significant difference between them. As regard Nutritional status, nursing home had significantly higher percentage of malnourished participants compared to community dwelling participants (43.4% Vs 30.9%). Using the 5 items GDS, 57.7% of elderly were at risk of depression while 42% had impaired cognitive function using the MMSE. Frailty and malnutrition were highly prevalent in older age, in females, in widowed elderly, in those living alone, in participants with dysfunctional family, with comorbidities, with more than three comorbidities, with ischemic heart disease, receiving more than 3 drugs, with depressive symptoms and in those with lower cognitive performancesConclusions: Frailty and malnutrition are highly prevalent problems among elderly in both nursing homes and
摘要背景:虚弱和营养不良是老年人普遍存在的问题。研究这两个概念非常重要，因为它们都可以进行预防干预，并且是可逆的。目的:了解两组埃及老年人的虚弱和营养不良患病率;并找出养老院和社区居民这两个问题的危险因素。方法:研究对象包括350名60岁及以上的老年男女，175名来自养老院的参与者和175名社区居民。访谈问卷收集的数据包括:社会人口统计数据、健康状况、家庭功能(家庭APGAR评分)、抑郁症筛查(5项老年抑郁症量表)和认知状况(Mini-Mental state)。虚弱程度采用SHARE虚弱指数测量，营养状况采用迷你营养评估问卷(MNA)测量。结果:老年人虚弱患病率为77.1%，而社区居民为66.3%，两者差异无统计学意义。在营养状况方面，疗养院的营养不良参与者的比例明显高于社区居住的参与者(43.4% Vs 30.9%)。使用5项GDS, 57.7%的老年人存在抑郁风险，42%的老年人认知功能受损。虚弱和营养不良在老年人、女性、丧偶老年人、独居者、功能失调家庭参与者、有合并症、有3种以上合并症、缺血性心脏病、服用3种以上药物、有抑郁症状和认知能力较低的人群中非常普遍
{"title":"Frailty and malnutrition among Egyptian elderly: prevalence and risk factors in nursing home and community dwelling elderly","authors":"S. Sabbour, Samia Ahmed Abdul Rahamn, G. Amin, B. Mohamed","doi":"10.21608/EJGG.2018.30909","DOIUrl":"https://doi.org/10.21608/EJGG.2018.30909","url":null,"abstract":"AbstractBackground: frailty and malnutrition are common problems among elders. Studying these two concepts is very important as both of them are amenable for preventive interventions and are reversible.Aim: To measure the prevalence of frailty and malnutrition among two groups of Egyptian elderly; nursing homes and community dwellers and to identify risk factors of these two problems.Methods: the study included 350 elderly males and females aged 60 and over, 175 participants from nursing homes and 175 community dwellers. An interview questionnaire collected data about: sociodemographic data, health status, functionality of family (family APGAR score), screening for depression (5 item Geriatric Depression Scale) and cognitive status (Mini-Mental state). Frailty was measured using SHARE frailty index whereas nutritional status was measured using the Mini Nutritional Assessment questionnaire (MNA).Results: Prevalence of frailty was 77.1% among elderly in nursing homes compared to 66.3% among community dwellers with no significant difference between them. As regard Nutritional status, nursing home had significantly higher percentage of malnourished participants compared to community dwelling participants (43.4% Vs 30.9%). Using the 5 items GDS, 57.7% of elderly were at risk of depression while 42% had impaired cognitive function using the MMSE. Frailty and malnutrition were highly prevalent in older age, in females, in widowed elderly, in those living alone, in participants with dysfunctional family, with comorbidities, with more than three comorbidities, with ischemic heart disease, receiving more than 3 drugs, with depressive symptoms and in those with lower cognitive performancesConclusions: Frailty and malnutrition are highly prevalent problems among elderly in both nursing homes and","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"179 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125049651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-01DOI: 10.21608/EJGG.2018.30903
Rehab R. Desouki, H. Tawfik, S. Elsaid, Hamdy Singab, S. Hamza
{"title":"30-Days Readmission after cardiac surgery in elderly patients","authors":"Rehab R. Desouki, H. Tawfik, S. Elsaid, Hamdy Singab, S. Hamza","doi":"10.21608/EJGG.2018.30903","DOIUrl":"https://doi.org/10.21608/EJGG.2018.30903","url":null,"abstract":"","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132000187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.21608/ejgg.2019.139018
Ahmed Abdelgaleel, S. Hamza, M. Khater, N. Osman, Mohamed, Mortada
Background COPD is a multicomponent disease, and patients may have a very wide range of comorbid conditions that can affect prognosis and make a negative impact on morbidity and mortality [1]. Patients with COPD usually suffer from progressive reduction of lung function, decreased exercise capacity, frequent disease exacerbations, and development of extra-pulmonary comorbidities such as osteoporosis, cardiovascular diseases, and infections [2] with development of many other psychological troubles most commonly depression and anxiety [3] [4]. The prevalence of COPD in the elderly markedly increases with age and could reach up to 15% in those over 65 years [5]. Depression is one of the most important and most common comorbidities that may complicate COPD patients [6] with a reported prevalence of depression in patients with COPD ranges from 10–42%, which is much higher than in general population [7] [8], but it is often undiagnosed and undertreated [9]. The key pathophysiological mechanisms underlying the relationship between COPD and depression are not fully understood [10], but it occurs most probably due to systemic inflammation, perhaps via TNF-α, and oxidative stress [11], with many factors that contribute to depression in COPD such as socioeconomic status, female sex, and living alone [10]. Depressive disorders in COPD often present with moderate to severe symptoms leading to a decreased functional capacity [9] [12], marked poor health outcomes, lowered quality of life, significantly increased healthcare costs and increased mortality [6] [10]. Abstract
{"title":"Relationship between depression and severity of COPD among Egyptian elderly patients","authors":"Ahmed Abdelgaleel, S. Hamza, M. Khater, N. Osman, Mohamed, Mortada","doi":"10.21608/ejgg.2019.139018","DOIUrl":"https://doi.org/10.21608/ejgg.2019.139018","url":null,"abstract":"Background COPD is a multicomponent disease, and patients may have a very wide range of comorbid conditions that can affect prognosis and make a negative impact on morbidity and mortality [1]. Patients with COPD usually suffer from progressive reduction of lung function, decreased exercise capacity, frequent disease exacerbations, and development of extra-pulmonary comorbidities such as osteoporosis, cardiovascular diseases, and infections [2] with development of many other psychological troubles most commonly depression and anxiety [3] [4]. The prevalence of COPD in the elderly markedly increases with age and could reach up to 15% in those over 65 years [5]. Depression is one of the most important and most common comorbidities that may complicate COPD patients [6] with a reported prevalence of depression in patients with COPD ranges from 10–42%, which is much higher than in general population [7] [8], but it is often undiagnosed and undertreated [9]. The key pathophysiological mechanisms underlying the relationship between COPD and depression are not fully understood [10], but it occurs most probably due to systemic inflammation, perhaps via TNF-α, and oxidative stress [11], with many factors that contribute to depression in COPD such as socioeconomic status, female sex, and living alone [10]. Depressive disorders in COPD often present with moderate to severe symptoms leading to a decreased functional capacity [9] [12], marked poor health outcomes, lowered quality of life, significantly increased healthcare costs and increased mortality [6] [10]. Abstract","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126785130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.21608/ejgg.2019.139019
R. Mohamed, Nesma Gamal El Sheikh, Nourhan Basyouny
Sleep related disorders among elderly have a multifactorial etiology. This includes primary and secondary causes. Primary causes include sleepdisordered breathing, periodic limb movements in sleep, restless legs syndrome, rapid eye movement (REM), sleep behavior disorder, insomnia, and circadian rhythm disturbances. Secondary causes such as lifestyle and environmental factors, multiple comorbid medical conditions, the use of medication for comorbid and psychiatric conditions. (1)
{"title":"The Sleep Disturbances in Elderly Patients with Chronic Liver Disease","authors":"R. Mohamed, Nesma Gamal El Sheikh, Nourhan Basyouny","doi":"10.21608/ejgg.2019.139019","DOIUrl":"https://doi.org/10.21608/ejgg.2019.139019","url":null,"abstract":"Sleep related disorders among elderly have a multifactorial etiology. This includes primary and secondary causes. Primary causes include sleepdisordered breathing, periodic limb movements in sleep, restless legs syndrome, rapid eye movement (REM), sleep behavior disorder, insomnia, and circadian rhythm disturbances. Secondary causes such as lifestyle and environmental factors, multiple comorbid medical conditions, the use of medication for comorbid and psychiatric conditions. (1)","PeriodicalId":405276,"journal":{"name":"The Egyptian Journal of Geriatrics and Gerontology","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114355143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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